top of page

CLIENT INTAKE FORM PART 1

How did you hear about us?
Social Media
Referral
Previous Client
Website
Client Type
Returning Client
New Client

Client Intake

Tax Preparer

Taxpayer Information

Add your text

Does any of the following apply?
Filing Status
Birthday
Month
Day
Year
What is your filing status as of December?
Multi choice

Spouse Information

Spouse Date of Birth
Month
Day
Year

*Answering these questions will toggle specific forms for your tax situation to keep you from answering irrelevant information and to save time and give you a more accurate quote"

Would you like to apply for a refund advance?
Yes
No
Are you filing a business/self employed/ side job/ cash job?
Yes
No
Did you or your family have health insurance at any time in 2023 from the MARKETPLACE? HEALTHCARE.GOV
Yes
No

Income

Do you owe student loans, taxes, or any other entity that at might offset your refund?
Yes
No
Please select each type of income that you received for the 2023 Year.
Which of the following applies to you?

© 2024 by Jackson&CoFinancial. Powered and secured by Wix

bottom of page